Back in Motion Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BACK IN MOTION PHYSICAL THERAPY, LLC

Practice address

94 Main St
Gorham, ME 04038-1340

Phone

(207) 839-5860

Fax

(207) 839-2499

NPI assigned

Nov 30, 2006

Last updated

Dec 12, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard LeaverNPI 1801994355

Title

Ceo

Phone

(616) 356-5000

Specialties & licenses 1

Addresses

Other names 1

• Gorham Physical Therapy, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Alliance Physical Therapy Group LLC

  dba Armor Physical Therapy

  • Physical Therapist
  • Holland, MI
  • NPI 1649216144

  Member Of

  NPD member

Locations

Practitioners 114

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Evan Andrews, PT, DPT

  • Physical Therapist
  • Scarborough, ME
  • NPI 1083453245
  Medicare reassignment Care Compare group NPD
• Anne Arnold

  • Physical Therapist
  • Hermon, ME
  • NPI 1053141515
  Medicare reassignment Care Compare group NPD
• Nicole Ayotte, MPT

  • Physical Medicine & Rehabilitation Physician
  • Millinocket, ME
  • NPI 1548728967
  Medicare reassignment Care Compare group NPD
• Emily Banks, DPT

  • Physical Therapist
  • Bangor, ME
  • NPI 1649011032
  Medicare reassignment Care Compare group NPD
• Joseph Bennett

  • Physical Therapist
  • Saco, ME
  • NPI 1962137430
  Medicare reassignment Care Compare group NPD
• Mary Kathryn Frey Bennett, DPT

  • Pediatric Physical Therapist
  • Gorham, ME
  • NPI 1851026496

  Pediatrics

  Medicare reassignment Care Compare group NPD
• Paul M Brown, P.T.

  • Physical Therapist
  • South Portland, ME
  • NPI 1710934815
  Medicare reassignment Care Compare group NPD
• Tyler Chamberlin, DPT

  • Physical Therapist
  • Gorham, ME
  • NPI 1134520927
  Medicare reassignment Care Compare group NPD
• Nicole Rose Constantineau, DPT

  • Physical Therapist
  • Gorham, ME
  • NPI 1194439786
  Medicare reassignment Care Compare group NPD
• Ashley Donna Crocker, PT, DPT

  • Physical Therapist
  • Brewer, ME
  • NPI 1417634825
  Medicare reassignment Care Compare group NPD
• Cameron Robert Allan Crocker, DPT

  • Physical Therapist
  • Sanford, ME
  • NPI 1669357877
  Medicare reassignment Care Compare group NPD
• Emma Katherine Cyr

  • Physical Therapist
  • Saco, ME
  • NPI 1902534746
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1821165960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395",
            "telephone_number": "616-356-5000",
            "fax_number": "616-356-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 MAIN ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381340",
            "telephone_number": "207-839-5860",
            "fax_number": "207-839-2499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Elm Plz",
            "address_purpose": "LOCATION",
            "city": "Waterville",
            "state": "ME",
            "postal_code": "049014936",
            "country_code": "US",
            "telephone_number": "207-707-4789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1017 School St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Veazie",
            "state": "ME",
            "postal_code": "044016983",
            "country_code": "US",
            "telephone_number": "207-894-6950",
            "fax_number": "207-945-8222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Stewart Dr Unit 1A",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040742027",
            "country_code": "US",
            "telephone_number": "207-503-2728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1364 Main St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "ME",
            "postal_code": "040733648",
            "country_code": "US",
            "telephone_number": "207-881-5014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "532 Main St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Saco",
            "state": "ME",
            "postal_code": "040721526",
            "country_code": "US",
            "telephone_number": "207-820-7609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Turner St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "ME",
            "postal_code": "042105093",
            "country_code": "US",
            "telephone_number": "207-707-4788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "797 Wilson St",
            "address_purpose": "LOCATION",
            "city": "Brewer",
            "state": "ME",
            "postal_code": "044121000",
            "country_code": "US",
            "telephone_number": "207-992-4042",
            "fax_number": "207-992-4043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Main St Unit T2",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "ME",
            "postal_code": "049534156",
            "country_code": "US",
            "telephone_number": "207-924-0077",
            "fax_number": "207-924-0078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "185 Ocean St",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041063600",
            "country_code": "US",
            "telephone_number": "207-799-8226",
            "fax_number": "207-799-9340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1041 Brighton Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041021042",
            "country_code": "US",
            "telephone_number": "207-699-4111",
            "fax_number": "207-773-8814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34 Hennessey Ave",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040112333",
            "country_code": "US",
            "telephone_number": "207-725-7578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 Broadway Ste 1",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044015205",
            "country_code": "US",
            "telephone_number": "207-990-0188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "482 Stillwater Ave",
            "address_purpose": "LOCATION",
            "city": "Old Town",
            "state": "ME",
            "postal_code": "044682190",
            "country_code": "US",
            "telephone_number": "207-881-5012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2402 Route 2 Ste E",
            "address_purpose": "LOCATION",
            "city": "Hermon",
            "state": "ME",
            "postal_code": "044010666",
            "country_code": "US",
            "telephone_number": "207-605-9067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "248 State St Ste 3A",
            "address_purpose": "LOCATION",
            "city": "Ellsworth",
            "state": "ME",
            "postal_code": "046051850",
            "country_code": "US",
            "telephone_number": "207-667-4278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1008 W Main St",
            "address_purpose": "LOCATION",
            "city": "Dover Foxcroft",
            "state": "ME",
            "postal_code": "044263745",
            "country_code": "US",
            "telephone_number": "207-802-5062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "256 Main Street",
            "address_2": "Ste B",
            "address_purpose": "LOCATION",
            "city": "Belfast",
            "state": "ME",
            "postal_code": "04915",
            "country_code": "US",
            "telephone_number": "207-881-5013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "251 US Route 1 Ste W16",
            "address_purpose": "LOCATION",
            "city": "Falmouth",
            "state": "ME",
            "postal_code": "041051577",
            "country_code": "US",
            "telephone_number": "207-910-3370",
            "fax_number": "207-221-1481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BACK IN MOTION PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "LEAVER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-356-5000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gorham Physical Therapy, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Nicola Anthony Albanese, DMD
• Alliance Home Care, LLC (Acti-Kare Responsive In-Home Care)
• Andrea M. Taliento, DMD, P.a. (Maplewood Dental Arts)
• Brandon Alan Archibald, PHARMD.
• Andrew Michel Athanathious, DMD
• Diego Barbosa Da Silva, IPDH, RDH
• Linda D. Beagle, M.A., CCC-SLP
• Elizabeth Anne Beane, LCSW
• Abby M Beaumont, LCSW
• Elizabeth Beaven

• Physical Therapist in Gorham, ME
• Providers in Gorham, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.